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RN- NCLEX exam Questions and
Correct Answers Latest Update,
Graded A+
1. I can wait 3 to 4 days after intercourse to start taking these to prevent
pregnancy.
Plan B is a series of contraceptive pills similar in composition to birth control pills
that have been used for the past 30 years. Plan B is the brand name for
levonorgestrel 0.75 mg. Pills are most effective if taken immediately after
unprotected intercourse and then again 12 hours later. Males can purchase this
contraceptive as long as they are over 18 years of age. Common side effects
include nausea, breast tenderness, vertigo, and stomach pain.
o :## A client has obtained Plan B (levonorgestrel 0.75 mg, 2 tablets) as
emergency contraception. After unprotected intercourse , the client calls
the clinic to ask questions about taking the contraceptives. The nurse
realizes the client needs further explanation when she makes which of the
following responses?
3. Breast - or bottle-feeding plan.
Birth control plans are influenced primarily by whether the mother is breast- or
bottle-feeding her infant. The maternal milk supply must be well established prior
to the initiation of most hormonal birth control methods. Low-dose oral
contraceptives would be the exception. Use of estrogen-/progesterone-based pills
and progesterone-only pills are commonly initiated from 4 to 6 weeks postpartum
because the milk supply is well established by this time. Prior experiences with
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birth control methods have an impact on the method chosen as do to preferences
of the client's partner; however, they are not the most influential factors. Desire
to have another child in two years would make some methods, such as an IUD, less
attractive but would still be secondary to the choice to breast-feed.
o :## An antenatal G2, T1, P0, Ab0, L1 client is discussing her postpartum
plans for birth control with her health care provider. In analyzing the
available choices, which of the following factors has the greatest impact on
her birth control options?
4. If there is discharge from my nipples, I should call my health care provider.
The nurse determines that the client has understood the instructions when the
client says that she will notify her primary health care provider if she notices
discharge or bleeding because this may be symptomatic of underlying disease.
Ideally, breast self-examination should be performed about 1 week after the onset
of menses because hormonal influences on breast tissue are at a low ebb at this
time. The client should perform breast self-examination on the same day each
month only if she has stopped menstruating (as with menopause). The client's
breasts should mirror each other. If one breast is significantly larger than the
other, or if there is "pitting" of breast tissue, a tumor may be present.
o :## After the nurse instructs a 20 year old nulligravid client on how to
perform a breast self-examination, which of the following client statements
indicates that the teaching has been successful?
3. Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the
next menstrual cycle.
For a client with a typical menstrual cycle of 28 days, ovulation usually occurs on
day 14, plus or minus 2 days, before the onset of the next menstrual cycle. Stated
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another way, the menstrual period begins about 2 weeks after ovulation has
occurred. Ovulation does not usually occur during the menses component of the
cycle when the uterine lining is being shed. In most women, the ovum survives for
about 12 to 24 hours after ovulation, during which time conception is possible. The
basal body temperature rises 0.5 F to 1.0 F (0.28 C to 0.56 C) when ovulation
occurs. Although some women experience some pelvic discomfort during ovulation
(mittelschmerz), severe or unusual pain is rare. After ovulation, the cervical mucus
is thin and copious.
o :## Which of the following would be important to include in the teaching
plan for the client who wants more information on ovulation and fertility
management?
1. Take a mild analgesic if needed for menstrual pain.
The nurse should instruct the client to take a mild analgesic, such as ibuprofen, if
menstrual pain or "cramps" are present. The client should also eat foods rich in
iron and should continue moderate exercise during menstruation, which increases
abdominal tone. Avoiding cold foods will not decrease dysmenorrhea. Sexual
intercourse is not prohibited during menstruation, but the male partner should
wear condom to prevent expose to blood.
o :## Which of the following instructions about activities during menstruation
would the nurse include when counseling an adolescent who has just begun
to menstruate?
1. Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes, resulting
in pregnancy.
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Under ideal conditions, sperm can reach the ovum in 15 to 30 minutes. This is an
important point to make with adolescents who may be sexually active. Many
people believe that the time interval is much longer and that they can wait until
after intercourse to take steps to prevent conception. Without protection,
pregnancy and sexually transmitted diseases can occur. When using the abstinence
or calendar method, the couple should abstain from intercourse on the days of
menstrual cycle when the woman is most likely to conceive. Using a 28-day cycle
as an example, a couple should abstain from coitus 3 to 4 days before ovulation
(days 10 through 14) and 3 to 4 days after after ovulation (days 15 through 18).
Sperm from a healthy male can remain viable for 24 to 72 hours in the female
reproductive tract. If the female client ovu
o :## After conducting a class for female adolescents about human
reproduction, which of the following statements indicates that the school
nurse's teaching has been effective?
3. Cervical mucus is carefully monitored for changes.
The symptothermal method is a natural method of fertility management that
depends on knowing when ovulation has occurred. Because regular menstrual
cycles can vary by 1 or 2 days in either direction, the symptothermal method
requires daily basal body temperature assessments plus close monitoring of
cervical mucus changes. The method relies on abstinence during the period of
ovulation, which occurs approximately 14 days before the beginning of the next
cycle. Abstinence from coitus for 5 days after menses is unnecessary because it is
unlikely that ovulation will occur during this time period (days 1 through 10).
Typically, the failure rate for this method is between 10% and 20 %. Although a
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